Sclerotherapy

Pain Management

What is Sclerotherapy?

Ultrasound guided sclerotherapy is a procedure where vessels can be closed with an injection. In some degenerative or injured tendons there can be small vessels that form within, and around, the tendon. This physiological process is called neovascularization and can be a significant source of pain. Sclerotherapy can be used to close off these vessels to reduce pain symptoms. The most common sites are the patellar tendon in the front of the knee and the Achilles tendon at the back of the ankle. This procedure is booked in 3 separate treatments, each separated by a minimum of one month.

FAQs

How do we know the sclerotherapy is being performed in the correct location?

Sclerotherapy is performed under ultrasound guidance to allow the Radiologist to visualize the needle while viewing the perforating vessels that are being targeted for treatment.

What can I expect at my appointment?

Once you arrive at the clinic you will be asked to complete a few forms pertaining to the appointment. To allow adequate time for this, please arrive 15 minutes prior to your scheduled appointment time. You may be instructed to change into a gown for your procedure.

You will be taken back to a private exam room for your procedure. One of our technologists and a Radiologist will review your previous diagnostic imaging, discuss the reason for your referral to Beam Radiology, and explain the details of the recommended pain management treatment.

Communication is very important to Beam, and you will be given opportunity to ask any questions you may have before beginning. You will be positioned so that the Radiologist can access the affected area. The targeted area will be disinfected with a cleaning solution. To ensure effectiveness and accuracy, ultrasound will be used in real-time to guide the injection.

The Radiologist will inject a mixture of anaesthetic, and a concentrated sugar solution called dextrose into the vessels. This will cause the vessel walls to stick together, and seal shut.

Following your procedure, you will be directed to wait for a brief observation period. One of our technologists will review the post-procedure care with you, and then you will be free to leave the clinic.

What are my expected results post injection?

With successful treatment, your pain related to tendon neovascularity may be reduced. Some patients notice more significant pain relief than others.

What are the risks associated with my injection?

This procedure is performed using sterile technique. Very rare complications include allergic reaction, infection, and bleeding.

What is the post-care following this treatment?

Keep the area clean and dry. Avoid hot tubs, pools, or baths for 48 hours. You can shower normally.

You may use ice and anti-inflammatories, or pain medications if there is discomfort following the procedure.

You can perform your normal daily activities but avoid strenuous activities involving the affected area for 2-3 days following the procedure.